Larry E Malicky OD PC

Optometrist · Columbus, NE

Organization Active NPI

NPI number 1336393289

Practice location

566 S Quail Ln
Columbus, NE 68601-6308
Phone
(402) 980-4787

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NPI record

NPI
1336393289
Entity type
Organization (Type 2)
Enumeration date
November 5, 2008
Last updated
November 5, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 801 NE

Authorized official

Name
Dr. Larry E Malicky, OD PC
Title
President
Phone
(402) 980-4787

About Larry E Malicky OD PC

Larry E Malicky OD PC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 566 S Quail Ln, Columbus, NE 68601-6308. The NPI number 1336393289 was assigned on November 5, 2008 and the record was last updated on November 5, 2008.

Larry E Malicky OD PC lists a license in the registry: #801 (NE) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Larry E Malicky, OD PC, President.

Frequently asked questions

What is the NPI number of Larry E Malicky OD PC?

The NPI number is 1336393289.

What is the phone number of Larry E Malicky OD PC?

The phone number listed for the practice location is (402) 980-4787.

Where is Larry E Malicky OD PC located?

566 S Quail Ln, Columbus, NE 68601-6308.

What is the taxonomy code for Larry E Malicky OD PC?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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